tag:blogger.com,1999:blog-18943510.post6547267548560907932..comments2016-12-09T05:16:20.988-06:00Comments on Dr. Wes: The Eroding Physician BrandDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger17125tag:blogger.com,1999:blog-18943510.post-84378151525513171792011-05-02T10:22:24.562-05:002011-05-02T10:22:24.562-05:00As I was searching for material to include in our ...As I was searching for material to include in our Nurses&#39; Week activities, I came across this blog. This year&#39;s theme is &quot;in Nurses We Trust.&quot; I was searching for something to support the idea of the importance of trust between the physician and nurse. <br /><br />I am disappointed to see another physician who appears to feel threatened by someone with different letters behind ~~ J ~~http://www.blogger.com/profile/14807153374715251327noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-41496464438891461212011-02-02T12:35:10.617-06:002011-02-02T12:35:10.617-06:00I think anonymous SCRN&#39;s got a point.
My visi...I think anonymous SCRN&#39;s got a point.<br /><br />My vision of the future primary care practice:<br /><br /> Primary Care Associates of Peoria<br /><br /> Joe Schmoe MD, ACP<br /> James Smith, RN, NP<br /> Jill Simpson PAC<br /> Harry Anderson RN,NP<br /> Michelle Jones RN, NP<br /> Jean Butkus PAC<br /> Kathleen Davis RN, NP<br /><br />&quot;We Jayhttp://www.blogger.com/profile/10897176780069403370noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-91159827995854242792011-02-01T20:06:01.142-06:002011-02-01T20:06:01.142-06:00Dr. Wes,
&quot;NPs for growing hospitalist team&q...Dr. Wes,<br /><br />&quot;NPs for growing hospitalist team&quot;. Northshore, Advocate, etc. It&#39;s common. You forget The Corporation is not as interested in medicine as it is in money. Corporate has decided you guys are too finicky and too expensive so it&#39;s time to cut back. You all should have stayed out on your own at all costs. See what happens when you work for The Man? It&#39;s not Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-38634688593152001262011-02-01T11:08:56.231-06:002011-02-01T11:08:56.231-06:00This is not to mention, too, all the premedical an...This is not to mention, too, all the premedical and medical students who go around blogging and tweeting and forum-posting with &quot;Dr. _____&quot; or &quot;_____, MD&quot; monikers. I&#39;ve started assuming that anyone with &quot;Dr.&quot; in their username is probably...not one. Not yet, at least, and I doubt they&#39;d walk around their campuses or hospitals introducing themselves as such. Benhttp://benferguson.orgnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-67603586806888972892011-01-31T22:05:49.873-06:002011-01-31T22:05:49.873-06:00Patients are not the ones confused. I make it clea...Patients are not the ones confused. I make it clear to them who I am and what I do ( I know I&#39;m repeating myself but I don&#39;t think you heard me the first time). So do you have any NPs in your cardiology practice? Because the ones I know are referred to as cardiology NPs, since that&#39;s the area they work in, as are orthopedic PAs. I&#39;m sorry if we step on your feelings, and if we Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-83587003275396079102011-01-31T15:36:11.476-06:002011-01-31T15:36:11.476-06:00Mika -
For the record, I work with two exception...Mika -<br /> <br />For the record, I work with two exceptional nurse practioners, so please, chill. <br /><br />The point here is my nurse practitioners don&#39;t call themselves &#39;doctors&#39; or &#39;hospitalists&#39; either. <br /><br />In an era where patients want and deserve transparency, there&#39;s a need for those of us doctors who went to medical school to point out that there are DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-36251816439968127012011-01-31T14:32:19.236-06:002011-01-31T14:32:19.236-06:00&quot;Eroding the Physician Brand&quot;, the title...&quot;Eroding the Physician Brand&quot;, the title alone lets many know how under educated you are in terms of Nurse Practitioners. Did you wait and research the requirements of becoming an NP before typing our your own eroded opinion? I can&#39;t help but wonder how many NP&#39;s have refereed patients to your care?<br /><br />At the end of the day it comes down to an unfortunate miss education.Mikahttp://www.blogger.com/profile/02271877175236793677noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-12163354379958439822011-01-30T13:34:35.772-06:002011-01-30T13:34:35.772-06:00Dr. Wes,
Okay. We&#39;re going to make you king....Dr. Wes,<br /><br />Okay. We&#39;re going to make you king. Now go ahead and repeal ACA. Now the year is 2015. Let me know how much the cost of health care has declined vis a vis 2010 and how many uninsured we have. Finally where do physicians fall in overall U.S. income rankings 2010 vs 2015?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-1526682331902794922011-01-30T13:10:26.951-06:002011-01-30T13:10:26.951-06:00Dr. Wes,
I bet you learn dozens of new terms eve...Dr. Wes,<br /><br />I bet you learn dozens of new terms every year in a practice that is so linked with technology. So what&#39;s so hard to ask the person about his title? With time, I hope you will be encouraged by the professional evolutions of your colleagues. It would seem to answer our concerns about providing access to health care to more people. And I&#39;m surprised you dismiss &quotAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-31095367455918833352011-01-30T12:30:26.248-06:002011-01-30T12:30:26.248-06:00Wes,
This topic interests me for many of the reas...Wes, <br />This topic interests me for many of the reasons you mention - it bears on what doctors do, health care costs, the future of medicine... <br /><br />In my role as a patient, I&#39;ve thought about this a lot. In the future if I&#39;m ever hospitalized, it&#39;s unlikely my usual doctors will be there (except perhaps as a courtesy, on occasion) and that thought is terrifying. The &quot;Elaine Schattner, MDhttp://www.medicallessons.netnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-47508599202898859202011-01-30T07:46:16.055-06:002011-01-30T07:46:16.055-06:00I&#39;ve always thought that med school was probab...I&#39;ve always thought that med school was probably closer in structure to trade school than college.<br /><br />It&#39;s really not that hard to imagine that you could strip out all the BS from pre-med and the pre-clinical years and use that to produce a serviceable doctor. How much of your organic chemistry do you really use anymore after all?<br /><br />Maybe what were getting with the new Jayhttp://www.blogger.com/profile/10897176780069403370noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-58738689979001988532011-01-30T04:42:53.127-06:002011-01-30T04:42:53.127-06:00There is another way to look at it instead of erod...There is another way to look at it instead of eroding physician brand. What if these extenders are actually freeing up docs to use their higher level skills instead? I highly recommend &quot;Transforming Health Care&quot; by Charles Kenney regarding Virginia Mason&#39;s use of the Lean system to literally transform how it delivers health care (it is VERY eye opening). An excerpt:<br />&quot;A keyAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-59913373531932797712011-01-29T20:52:34.979-06:002011-01-29T20:52:34.979-06:00we have pa and np hospitalists at our hospital. ...we have pa and np hospitalists at our hospital. our area is buckling under increasing workload and not enough docs.<br />it&#39;s kind of a desperation maneuver since we can&#39;t seem to find enough docs and at the same time, in commenting specifically to our hospital situation, the np and pa hospitalists and er extenders may alleviate their respective departments, but at the cost of making Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-53888749699519295692011-01-29T17:26:31.238-06:002011-01-29T17:26:31.238-06:00I have a friend who is a NP working in a similar c...I have a friend who is a NP working in a similar capacity at a large California hospital. The program she works for employs NP Hospitalists to ensure that their service has coverage when residents have to leave to comply with work hour regulations.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-83035190614841195732011-01-29T15:41:03.812-06:002011-01-29T15:41:03.812-06:00You are correct, and most physicians in the hospit...You are correct, and most physicians in the hospitalists programs are primary care trained and recruited to their local facilities; there are some programs now specifically for hospitalist NPs and PAs. And clearly, I am a nurse first and very proud of that fact, since research shows outcomes to be superior with NPs providing care, even in some acute care areas. We do not work strictly from Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-40922379240914674932011-01-29T15:23:49.565-06:002011-01-29T15:23:49.565-06:00Anony 03:00 pm-
Thanks for the clarification. I ...Anony 03:00 pm-<br /><br />Thanks for the clarification. I hope you were not insulted by this post, but I really had never seen this title before (now I see why).<br /><br />But let&#39;s be clear: you are a nurse (or NP), and not a doctor (i.e., hold an MD or DO degree), correct? You see in my brain I had always thought of a hospitalist was a physician, at least until now.DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-19764234748761597032011-01-29T15:00:30.316-06:002011-01-29T15:00:30.316-06:00Thanks for the mention, Dr. Wes. My title says &qu...Thanks for the mention, Dr. Wes. My title says &quot;hospitalist&quot; because that&#39;s what I do. Just as when I worked in primary care, I was a primary care practitioner. I&#39;ll try not to be insulted, and I&#39;m sure we&#39;d be great friends if you got to know me. As a nurse practitioner working in acute care, I often find it interesting that this is a new concept to some. NPs and PAs Anonymousnoreply@blogger.com